Bowler Education Clinic Registration Form

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Date ____________________________________________________

Name:  __________________________________________________

Address: ________________________________________________

City, State, Zip: ___________________________________________

Phone Number: ___________________________________________

E-mail Address: ___________________________________________

Circle which session would you like to attend OR list days if not attending all three days?

All Three Days

Two Days - List Days ____________________________

One Day - List Day    ____________________________

Payment Amount  $_____________________________
(Cash, Check, Credit Card)

Sign up by September 1st & receive 10% discount off your Seminar Registration Fee

*** Full payment of clinic and lineage fee required with registration ***

Refund of Clinic Fee
100% Refund if participant cancels by September 1st, 2008
50% Refund if participant cancels between September 2nd thru September 9th , 2008
No Refund if participant cancels September 10th, 2008 or later.

Make Checks payable to:  Professional Bowling Service, Inc.
Credit Card payment available at:  301-996-3113  -  Professional Bowling Service, Inc.


I have read and understood the refund policy of the Bowling Clinic.  By signing this registration form, I agree to the above stated refund policy if I need to cancel or cannot attend for any reason.

Participant Signature:   REQUIRED

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